Organization Active NPI

Chattanooga Hamilton County Hospital Authority

Doing business as Erlanger Bledsoe-Internal Medicine & Pediatrics

  • Rural Health Clinic/Center
  • Pikeville, TN
National Provider Identifier
1821317629
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITY
Doing business as
Erlanger Bledsoe-Internal Medicine & Pediatrics
Practice address
136 Wheelertown Ave
Pikeville, TN 37367
Phone
(423) 778-4767
Fax
(423) 778-4833
NPI assigned
May 19, 2010
Last updated
May 19, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
CHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James L Brexler
Title
President & Ceo
Phone
(423) 778-4767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

136 Wheelertown Ave
Pikeville, TN 37367

Mailing address

975 E 3Rd St
Chattanooga, TN 37403-2147
Phone (423) 778-4767

Other names 1

  • Erlanger Bledsoe-Internal Medicine & Pediatrics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Part of
Apda Community HLTH Ctr

Locations

136 Wheelertown Ave
Pikeville, TN 37367
Phone (423) 447-3524

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jul 1, 2023 Change of OwnershipThis provider was the seller Erlanger Bledsoe Internal MedicineCCN 443442, TN, NPI 1003518929

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1821317629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032147",
            "telephone_number": "423-778-4767",
            "fax_number": "423-778-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 WHEELERTOWN AVE",
            "city": "PIKEVILLE",
            "state": "TN",
            "postal_code": "37367",
            "telephone_number": "423-778-4767",
            "fax_number": "423-778-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITY",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "BREXLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "423-778-4767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erlanger Bledsoe-Internal Medicine & Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pikeville, TN

Sources for this page

Verify at the official NPI Registry.